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1114679412
STACEY KELLER
DONALDSONVILLE, LA
NPI
1114679412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 3511)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
STACEY KELLER
1100 WEBSTER ST
DONALDSONVILLE, LA 70346-2754
Phone number: 225-391-6766
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Mailing Address
STACEY KELLER
1100 WEBSTER ST
DONALDSONVILLE, LA 70346-2754
Phone number: 225-391-6766
Copy
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